Coalition for Health and Gender Equity (CHANGE)—a protocol for a global cross-sectional survey of health and gender equity in rheumatology

Author:

Khursheed Tayyeba1ORCID,Ovseiko Pavel2ORCID,Dyball Sarah3,Nakashima Ran4ORCID,Gonzalez Ana Maria Arredondo56,Babini Alejandra7,Kalla Asgar Ali8,Hill Catherine910,Danda Debashish11,Dey Dzifa12,Traboco Lisa13,Nikiphorou Elena1415,Harifi Ghita1617,Badshah Humeira18,Hmamouchi Ihsane1920ORCID,Marie Von Feldt Joan21,Farani Júlia Boechat22,Andreoli Laura2324ORCID,Guimarães Mariana Peixoto25,Toro Gutiérrez Carlos Enrique26,Sieiro Santos Cristiana27,Duftner Christina28ORCID,Alpizar Rodriguez Deshire29ORCID,Ziadé Nelly30ORCID,Palominos Penélope Esther31,Haq Syed Atiqul32,Bautista-Molano Wilson3334ORCID,Tanaka Yoshiya35ORCID,Gossec Laure36,Agarwal Vikas37,Wright Grace C38,Coates Laura39ORCID,Gupta Latika404142ORCID, ,So Ho,Colunga-Pedraza Iris J,Chen Yi-Ming,Salim Babur,Vaidya Binit,Arredondo Gonzalez Ana Maria,Victoria Sadovici,Wang Qian,Akawatcharangura Phonpen,Siripaitoon Boonjing,Doskaliuk Bohdana,Sazliyana Shaharir Syahrul,Juge Pierre-Antoine,Klitz Uta,Mucke Johanna,Ravindran Vinod,Panagiotopoulos Alexandros,Colic Jelena,Bilgin Emre,Parodis Ioannis,de Hooge Manouk,Tα´lli Sandra,Magro Rosalie,Dourado Eduardo

Affiliation:

1. Department of Rheumatology, Pakistan Institute of Medical Sciences , Islamabad, Pakistan

2. Radcliffe Department of Medicine, University of Oxford , Oxford, UK

3. Centre for Musculoskeletal Research, The University of Manchester , Manchester, UK

4. Department of Rheumatology and Clinical Immunology, Graduate School of Medicine, Kyoto University , Kyoto, Japan

5. Colombian Association of Rheumatology , Bogotá, Colombia

6. Department of Rheumatology, Faculty of Medicine, Fundación Universitaria de Ciencias de la Salud (FUCS) , Bogotá, Colombia

7. Rheumatology Unit, Hospital Italiano de Cordoba , Cordoba, Argentina

8. Department of Medicine, University of Cape Town , Cape Town, South Africa

9. Rheumatology Unit, The Queen Elizabeth and Royal Adelaide Hospitals , Adelaide, SA, Australia

10. Discipline of Medicine, University of Adelaide , Adelaide, SA, Australia

11. Department of Clinical Immunology and Rheumatology, Christian Medical College , Vellore, India

12. Rheumatology Unit Department of Medicine and Therapeutics, Korle bu Teaching Hospital, University of Ghana Medical School , Accra, Ghana

13. Department of Medicine, Section of Rheumatology, St Luke’s Medical Center-Global City , Taguig, Philippines

14. Centre for Rheumatic Diseases, King’s College London , London, UK

15. Rheumatology Department, King’s College Hospital , London, UK

16. Department of Rheumatology, Mediclinic Parkview Hospital , Dubai, United Arab Emirates

17. Department of Medicine and Therapeutics, The Prince of Wales Hospital, The Chinese University of Hong Kong , Hong Kong, China

18. Dr Humeira Badsha Medical Center , Dubai, United Arab Emirates

19. Clinical Epidemiology, Health Sciences College, International University of Rabat (UIR) , Rabat, Morocco

20. Department of Rheumatology, Provincial Hospital of Temara , Temara, Morocco

21. University of Pennsylvania , Philadelphia, PA, USA

22. Division of Rheumatology, Hospital Santa Casa de Misericórdia de Juiz de Fora , Juiz de Fora, Brazil

23. Department of Clinical and Experimental Sciences, University of Brescia , Brescia, Italy

24. Unit of Rheumatology and Clinical Immunology, ASST Spedali Civili di Brescia , Brescia, Italy

25. Santa Casa de Misericórdia de Belo Horizonte , Belo Horizonte, Brazil

26. General Director, Reference Center for Osteoporosis, Rheumatology and Dermatology, Pontifica Universidad Javeriana Cali , Cali, Colombia

27. Department of Rheumatology, Complejo Asistencial Universitario de León , León, Spain

28. Internal Medicine, Clinical Division of Internal Medicine II, Medizinische Universität Innsbruck , Innsbruck, Austria

29. Research Unit, Mexican College of Rheumatology , Mexico City, Mexico

30. Rheumatology Department, Hôtel-Dieu de France Hospital, Saint Joseph’s University , Beirut, Lebanon

31. Rheumatology Division, Hospital de Clinicas de Porto Alegre , Porto Alegre, Brazil

32. Green Life Centre , Dhaka, Bangladesh

33. Rheumatology Division, University Hospital Fundación Santa Fé de Bogotá , Bogota, Colombia

34. School of Medicine, Universidad El Bosque , Bogotá, Colombia

35. First Department of Internal Medicine, School of Medicine, University of Occupational and Environmental Health , Fukuoka, Japan

36. Sorbonne Université, INSERM, IPLESP, AP-HP, Pitié-Salpetrière Hospital , Paris, France

37. Department of Clinical Immunology and Rheumatology, Sanjay Gandhi Postgraduate Institute of Medical Sciences , Lucknow, India

38. Association of Women in Rheumatology; United Rheumatology , New York, NY, USA

39. Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford , Oxford, UK

40. Division of Musculoskeletal and Dermatological Sciences, Centre for Musculoskeletal Research, School of Biological Sciences, The University of Manchester , Manchester, UK

41. Department of Rheumatology, Royal Wolverhampton Hospitals NHS Trust , Wolverhampton, UK

42. Department of Rheumatology, City Hospital, Sandwell and West Birmingham Hospitals NHS Trust , Birmingham, UK

Abstract

Abstract Objectives The primary aim of the CHANGE survey is to determine the current state of gender equity within rheumatology, and secondarily, to review the physician perspective on bullying, harassment and equipoise of opportunities within rheumatology. Methods The CHANGE e-survey is a cross-sectional self-reported questionnaire adapted from EULAR’s gender equity in academic rheumatology task force. The survey was launched in January 2023; it is available in six languages and distributed widely via rheumatology organizations and social media. Eligible participants include rheumatologist physicians and rheumatology health-care professionals. Survey responses will undergo descriptive analysis and inter-group comparison aiming to explore gender-based discrimination using logistic regression, with subgroup analyses for country/continent variations. Conclusion This e-survey represents a comprehensive global initiative led by an international consortium, aimed at exploring and investigating the gender-related disparities and obstacles encountered by rheumatologists and rheumatology health-care professionals across diverse communities and health-care environments. By pursuing this initiative, we aim to take the broader rheumatology community a step closer to understanding the underlying origins of inequities and their determinants. Such insights are pivotal in identifying viable interventions and strategies to foster gender equity within the field. Ultimately, our collective objective is to ensure equitable access to opportunities for every individual, irrespective of gender, thereby promoting inclusivity and fairness across the entire spectrum of professional practice and career development.

Funder

International League of Associations for Rheumatology

Publisher

Oxford University Press (OUP)

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